Individual provider Active NPI

Dylan Lempp

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1346915790
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1047611 Issued in TX
Practice address
9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635
Phone
(214) 557-4111
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1047611 TX Primary

Addresses

Primary practice location

9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635

Mailing address

9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dylan.lempp@momentumspine.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211220002461 TN Practitioner - Nurse Practitioner 6103217567 Reassigns benefits to 1 organization
I20221012001546 TX Practitioner - Nurse Practitioner 6103217567 Reassigns benefits to 1 organization
I20230705000945 AZ Practitioner - Nurse Practitioner 6103217567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Texas PLLC Nurse Practitioner CurrentSince Jun 16, 2022 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jan 31, 2022 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince May 23, 2023 Accepting new patients
MCS Dallas Medical, PLLC PastSince Aug 15, 2021 Accepting new patients

Locations

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

1225 W Washington St
Ste 120
Tempe, AZ 85288
Phone (602) 536-6304

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: dylan.lempp.1@22854.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1346915790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 LYNDON B JOHNSON FWY STE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LYNDON B JOHNSON FWY STE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434635",
            "telephone_number": "214-557-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMPP",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1047611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dylan.lempp@momentumspine.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9441 Lyndon B Johnson Fwy Ste 114",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752434635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.